Republika ng Pilipinas(Republic of the Philippines)Kagawaran ng Edukasyon(Department of Education)

KAWANIHAN NG EDUKASYONG ELEMENTARYA(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon XI(Region XI)

DIVISION OF DAVAO CITY

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Sangay Paaralan(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga

(Parent / Guardian) Pangalan Tirahan Hanapbuhay

(Name) (Address) (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Grade I - School Grade II - School

School Year School Year

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

English English

Mathematics Mathematics

Filipino Filipino

Makabayan Makabayan

* Sibika at Kultura * Sibika at Kultura

* MSEP * MSEP

* Character Education * Character Education

Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

English English

Mathematics Mathematics

Science and Health Science and Health

Filipino Filipino

Makabayan Makabayan

* Sibika at Kultura * HKS

* MSEP * EPP

* Character Education * MSEP

* Character Education

Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

English English

Mathematics Mathematics

Science and Health Science and Health

Filipino Filipino

Makabayan Makabayan

* HKS * HKS

* EPP * EPP

* MSEP * MSEP

* Character Education * Character Education

Eligible for Admission to Grade Eligible for Admission to Grade

DepEd Form 137-E

Final Rating

Final Rating

Final Rating

Final Rating

Final Rating

Final Rating

III. CHARACTER BUILDING

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1 Honesty

2 Courtesy

3

4 Obedience

5

6 Sportsmanship

7

8 Self-Reliance

9 Industry

10

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1 Honesty

2 Courtesy

3

4 Obedience

5

6 Sportsmanship

7

8 Self-Reliance

9 Industry

10

A - Outstanding C - SatisfactoryB - Very Satisfactory D - Needs Improvement

IV. ATTENDANCE RECORD

Grade Cause Cause

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:This is to certify that this is a true record of the Elementary School Permanent record of

. He/She is eligible for transfer and admissionto Grade/Year .

Signature

Helpfulness and Cooperation

Consideration for Others

Resourcefulness and Creativeness

Cleanliness and Orderliness

Helpfulness and Cooperation

Consideration for Others

Resourcefulness and Creativeness

Cleanliness and Orderliness

No. of School Days

No. of School Days Absent

No. of Times Tardy

No. of School Days Present

Date Designation